Active NPI
Katherine Lou Durham, M.A., M.S.
- Clinical Child & Adolescent Psychologist
- White Plains, NY
National Provider Identifier
1013409416
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Child & Adolescent Psychologist
- Practice address
- 19 Greenridge Ave
White Plains, NY 10605-1201 - Phone
- (914) 949-7680
- NPI assigned
- May 31, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Child & Adolescent Psychologist | 103TC2200X | Primary |
Addresses
Primary practice location
19 Greenridge Ave
White Plains, NY 10605-1201
Mailing address
2 Ellwood St Apt 4R
New York, NY 10040-1919
Phone (908) 619-4523
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts, Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Julia Dyckman Andrus Memorial, Inc. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- White Plains, NY
- NPI 1285628552
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1527724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1527724800000",
"number": "1013409416",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 ELLWOOD ST APT 4R",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100401919",
"telephone_number": "908-619-4523"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19 GREENRIDGE AVE",
"city": "WHITE PLAINS",
"state": "NY",
"postal_code": "106051201",
"telephone_number": "914-949-7680"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DURHAM",
"first_name": "KATHERINE",
"middle_name": "LOU",
"credential": "M.A., M.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-05-31",
"last_updated": "2018-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in White Plains, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.